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COMPLIANCE INFO_2010-2012
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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4943
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2300 - Underground Storage Tank Program
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PR0506488
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COMPLIANCE INFO_2010-2012
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Last modified
11/19/2024 1:51:12 PM
Creation date
11/5/2018 8:17:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2012
RECORD_ID
PR0506488
PE
2361
FACILITY_ID
FA0007458
FACILITY_NAME
7-ELEVEN INC #32190
STREET_NUMBER
4943
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4943 S HWY 99
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\4943\PR0506488\COMPLIANCE INFO 2010-2012.PDF
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EHD - Public
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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE(MM/DDIYYYY) <br /> WALTO-2 09/29/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3000 Oak Rd. , Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC9 <br /> INSURED INSURERA: aaEuraaca M..i. a Spec Ine co <br /> INSURER B: Delos Insurance Co. <br /> Walton Engineering, Inc. INSURER C: SeaBri ht Insurance Cc <br /> SP4eat Sacramento CA 95691 INSURER D: Hartford Insurance Cc 34690 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTR NN <br /> OFINSURANEPOLICYNUMBERDATE MM/OLICY DDM) ?DATE MMIDD IRATION LIMITS <br /> ILITY EACH OCCURRENCE $ 1,000,000 <br /> ASIAL GENERAL LIABILITY ECC101006001-00 03/06/09 03/06/10 PREMISESEao rence $50,000 <br /> MSMADE FXOCCUR MED EXP(My ane parson) S 5,000 <br /> PERSONAL B ADV INJURY $1,000,000 <br /> GENERALAGGREGATE 52,000,000ATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 <br /> X JEC LOC Em Ben. 1,000,000 <br /> LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> B X ANY AUTO DPA5501792@1 03/06/09 03/06/10 (Ea aWdmt) <br /> ALL OWNED AUTOS BODILY INJURY S <br /> SCHEDULED AUTOS (Per Person) <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per acdCenl) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> OTHER THAN EAACC $ <br /> AUTO ONLY: AGO $ <br /> jtF!!!t <br /> EACH OCCURRENCE $ 10,000,000 <br /> A IMS MADE EXS 101006002-00 .03/06/09 03/06/10 AGGREGATE $10,000,000 <br /> $ <br /> $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> `, EMPLOYERS'LIASILITY BB1093003 10/01/09 10/01/10 E.L.EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1, 000,000 <br /> Hye;deecnbeender E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> A Pollution/E&O ECCIOIOO6001-00 03/06/09 03/06/10 Poll/E&O 1, 000,000 <br /> D Installation Fltr 57MSIZ6050 03/06/09 03/06/10 Inst Fltr 2,000,000 <br /> DESCRIPTION OF OPERATIGNS/LOCATION$I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> To Whom It May Concern IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> .(1 r <br /> ACORD 25(2001108) Dennie Cote' i(y- <br /> ©ACORD CORPORATION 1988 <br />
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